Medicine Administration in People with Parkinson ’s Disease in New Zealand: An Interprofessional, Stakeholder-Driven Online Survey

AbstractMedicine administration errors are twice as frequent in people with dysphagia than in those without. Medicine administration is particularly critical for people with Parkinson ’s disease where late, or missed doses reduce medicine effectiveness and impact on the quality of life. The aim of this study was to explore the current medicine administration practices of people with Parkinson’s disease in New Zealand. A self-administered online survey was developed by an inte rprofessional group including people with Parkinson’s disease (the primary stakeholders), speech-language pathologists and pharmacists. The survey was administered using a cross-sectional study design and asked respondents about self-reported swallowing difficulties [using Eating Assessment Tool ( EAT-10)], medicine regimes and strategies used to swallow medicines. Seventy-one people with Parkinson’s disease responded to the survey (69% male, mean age 72 years, mean years with Parkinson’s disease 9 years). Respondents reported complex daily multi-medicine consumption (mean no. of pills 11, range 2–25). Analyses showed that 57% of respondents scored outside the normal range for EAT-10 (>  3) with 57% complaining of difficulties with pills. Many respondents admitted to missing medicines and requiring external reminders. Multiple strategies for swallowing pills were described including crushing tablets, using yoghurt or fruit juice, and swallowing stra...
Source: Dysphagia - Category: Speech-Language Pathology Source Type: research

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The objective of this study was to evaluate the relationship of linguistic markers in semistructured speech to WFD symptoms and cognitive function in PD.Method Speech recordings of description of the Cookie Theft picture in 53 patients with PD without dementia and 23 elderly controls were analyzed with Praat software. Montreal Cognitive Assessment (MoCA; Nasreddine et al., 2005), category naming fluency, and confrontation naming tests were administered. Questionnaires rating WFD symptoms and cognitive instrumental activities of daily living were completed. We determined the relationships between (a) pause length and locati...
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
Parkinson ’s disease comprises postural instability, problems with gait, balance and mobility. Such deficits may lead to falls, which may further decrease quality of life, morbidity of PD and mortality in PD patients (Muslimovic et al., 2008). PD patients suffer from 3 times the risk of falls and 5 times th e injuries when compared to age-matched healthy controls (Horak, 2005). Although DBS improves motor skills, a trend towards more falls has been reported after STN-DBS (Weaver, 2009; Lai, 2013).
Source: Clinical Neurophysiology - Category: Neuroscience Authors: Source Type: research
The objective of this study was to evaluate the relationship of linguistic markers in semistructured speech to WFD symptoms and cognitive function in PD. Method: Speech recordings of description of the Cookie Theft picture in 53 patients with PD without dementia and 23 elderly controls were analyzed with Praat software. Montreal Cognitive Assessment (MoCA; Nasreddine et al., 2005), category naming fluency, and confrontation naming tests were administered. Questionnaires rating WFD symptoms and cognitive instrumental activities of daily living were completed. We determined the relationships between (a) pause length and...
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Tags: J Speech Lang Hear Res Source Type: research
Conclusions No difference was found in loudness growth slopes in response to externally generated tones in PD. This is in contrast with the findings of previous studies of self-generated speech and externally presented speech. The underlying causes for impaired perception and production of loudness in PD require further investigation.
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
This study highlights that, beyond the detrimental effects of tube feeding on quality of life, there could be detrimental effects from non-oral feeding on the health of our patients. This is obviously not the case for all patients, so each individual case needs to be considered, but these studies comparing outcomes are important to consider. Participant: When using the IDDSI (International Dysphagia Diet Standardization Initiative), are there at least two numbers included in a diet order: one for foods and one for liquids? Are dietary departments fully onboard? Rogus-Pulia: My understanding of IDDSI is that, yes,...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - Category: Speech-Language Pathology Authors: Tags: Academia & Research Health Care Private Practice Slider Speech-Language Pathology Dysphagia Feeding Disorders nutrition Speech Disorders Swallowing Disorders Source Type: blogs
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Source: International Journal of Speech-Language Pathology - Category: Speech-Language Pathology Authors: Source Type: research
Conclusions: No difference was found in loudness growth slopes in response to externally generated tones in PD. This is in contrast with the findings of previous studies of self-generated speech and externally presented speech. The underlying causes for impaired perception and production of loudness in PD require further investigation. PMID: 29800039 [PubMed - as supplied by publisher]
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Tags: J Speech Lang Hear Res Source Type: research
Conclusions The lexical properties of the words affected listeners' understanding of Parkinsonian speech. Frequent words in sparse neighborhood enhanced intelligibility, especially under adverse listening conditions. Babble noise had a detrimental impact on the intelligibility of Parkinsonian speech. The extent of the lexical effect on intelligibility increased in noise.
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
Conclusions: The lexical properties of the words affected listeners' understanding of Parkinsonian speech. Frequent words in sparse neighborhood enhanced intelligibility, especially under adverse listening conditions. Babble noise had a detrimental impact on the intelligibility of Parkinsonian speech. The extent of the lexical effect on intelligibility increased in noise. PMID: 29587306 [PubMed - as supplied by publisher]
Source: Journal of speech, language, and hearing research : JSLHR - Category: Speech-Language Pathology Authors: Tags: J Speech Lang Hear Res Source Type: research
Conclusions Although lower-frequency STN-DBS stimulation was found to yield consistent improvements in speech outcomes, it was not found to necessarily lead to the best speech outcomes for all participants. Nevertheless, frequency may serve as a starting point to explore settings that will optimize an individual's speech outcomes following STN-DBS surgery.Supplemental Materialhttps://doi.org/10.23641/asha.5899228
Source: Journal of Speech, Language, and Hearing Research - Category: Speech-Language Pathology Source Type: research
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